| NPI | 1790430569 |
|---|---|
| Former Name | JESENIA ANTOINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL L21000489589) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 4617) |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-02-19 |